Goal adjustment influence on psychological well-being following advanced breast cancer diagnosis

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review

25 Scopus Citations
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Author(s)

  • Wendy W.T. Lam
  • Winnie Yeo
  • Joyce Suen
  • Wing Ming Ho
  • Janice Tsang
  • Inda Soong
  • Tze Kok Yau
  • Ka Yan Wong
  • Wing Kin Sze
  • Alice W. Y. Ng
  • Ava Kwong
  • Dacita Suen
  • Daniel Fong
  • Richard Fielding

Detail(s)

Original languageEnglish
Pages (from-to)58-65
Journal / PublicationPsycho-Oncology
Volume25
Issue number1
Online published18 Jun 2015
Publication statusPublished - Jan 2016

Abstract

Objective A diagnosis of advanced breast cancer (ABC) challenges a woman's ambitions. This longitudinal study explored (1) if goal adjustment disposition influenced psychological adjustment patterns among women with ABC and (2) if dispositional hope and optimism moderate effects of goal adjustment on psychological adjustment. Methods One hundred ninety three out of 225 women with ABC were assessed while they were awaiting/receiving initial chemotherapy, then again at 6 weeks, 3 months, 6 months, and 12 months post-baseline. Goal disengagement, goal reengagement, optimism, hope, and psychological adjustment (anxiety, depression, and positive affect) were assessed at baseline; psychological adjustment was reassessed at each follow-up. Latent growth curve modeling was used to examine the change of psychological adjustment and test the study objectives. Results High goal disengagement, low reengagement, and high optimism were associated with lower initial anxiety, while high goal disengagement and optimism predicted a slower rate of change in anxiety. High goal disengagement, reengagement, and optimism were associated with lower initial depression. High goal reengagement, optimism, and hope were associated with initial positive affect scores, while optimism predicted its rate of change. Optimism moderated the effect of goal disengagement on anxiety and depression, whereas hope moderated the effect of goal reengagement on positive affect. Conclusion Goal disengagement and reengagement are two relatively independent processes influencing psychological well-being. These findings will help clinicians to tailor specific interventions to help women coping with the diagnosis of ABC.

Citation Format(s)

Goal adjustment influence on psychological well-being following advanced breast cancer diagnosis. / Lam, Wendy W.T.; Yeo, Winnie; Suen, Joyce et al.

In: Psycho-Oncology, Vol. 25, No. 1, 01.2016, p. 58-65.

Research output: Journal Publications and Reviews (RGC: 21, 22, 62)21_Publication in refereed journalpeer-review